DALLAS NEPHROLOGY ASSOCIATES (NPI# 1497797005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497797005 |
| Entity Type | Organization |
| Organization Name | DALLAS NEPHROLOGY ASSOCIATES |
| Other Organization Name | DALLAS NEPHROLOGY ASSOCIATES VASCULAR CENTER PLANO |
| Practice Address |
4401 Tradition Trl Plano TX 75093 |
| Mailing Address |
1420 Viceroy Dr Attn: Lashunda Johnson Dallas TX 75235-2208 |
| Practice Telephone | 2145796600 |
| Practice Fax Number | 2145796601 |
| Mailing Telephone | 2143582300 |
| Mailing Fax Number | 2143666127 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | DR. ALEXANDER LIANG (PRESIDENT/CEO) |
| Authorized Official Telephone | 2143582300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DALLAS NEPHROLOGY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 677340 | 01 |
| Other Name | Type Code |
|---|---|
| DALLAS NEPHROLOGY ASSOCIATES PA | Former Legal Business Name - Organization |
| DALLAS NEPHROLOGY ASSOCIATES VASCULAR CENTER PLANO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053634030 | Dallas Nephrology Associates | Clinic/Center | 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 | 2010-03-05 |
| 1154376085 | Dallas Nephrology Associates | Clinical Medical Laboratory | 3604 Live Oak St, Ste 100, Dallas, TX 75204-6168 | 2006-05-22 |
| 1861440109 | Dallas Nephrology Associates | Internal Medicine | 1420 Viceroy Dr, Dallas, TX 75235-2208 | 2006-05-05 |
| Street Address |
4401 TRADITION TRL |
| City | PLANO |
| State | TX |
| Zip Code | 75093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811047665 | Neghae Mawla | Internal Medicine | 4401 Tradition Trl, Plano, TX 75093-5633 | 2007-01-12 |
| 1144318585 | Peggy Lorene Wentrcek | Nurse Practitioner | 4401 Tradition Trl, Plano, TX 75093-5633 | 2006-10-11 |
| 1811930860 | Steven D Beathard | Internal Medicine | 4401 Tradition Trl, Plano, TX 75093-5633 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1306303136 | Frisco First Surgicenter, LLC | Clinic/Center | 8740 Ohio Dr Ste B-1, Plano, TX 75024-2266 | 2019-02-28 |
| 1093295545 | Surgery Center 121 LLC | Clinic/Center | 9955 Gillespie Drive Suite 200, Plano, TX 75025 | 2018-08-15 |
| 1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
| 1518486091 | Legacy Trail Surgery Center | Clinic/Center | 7211 Preston Rd Ste 2100, Plano, TX 75024 | 2017-09-15 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1134516404 | Plano Texas Plastic Surgery Center | Clinic/Center | 5880 Ashmill Dr, Suite 200, Plano, TX 75024-0033 | 2015-04-23 |
| 1245657840 | Surgcenter of Plano LLC | Clinic/Center | 6101 Windhaven Parkway, Suite 195, Plano, TX 75093-8271 | 2014-03-21 |
| 1922438472 | Park Ambulatory Surgery Center, LLC | Clinic/Center | 5055 W Park Blvd Ste 800, Plano, TX 75093-2589 | 2013-11-20 |
| 1992721591 | Day Surgery Center of North Texas Ltd | Clinic/Center | 1701 Ohio Dr, Plano, TX 75093-5208 | 2006-07-15 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.